Individual
ANDREW MICHIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 790-4000
Mailing address
230 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 790-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
075432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003177195A
—
GA
Enumeration date
04/07/2011
Last updated
08/18/2016
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